APPLICATION FOR CREDIT

"I represent, warrant and affirm that the above information is true and correct and have been made in order to induce you, the dealer, to grant me credit to acquire a vehicle by relying on the above knowledge. By submitting this form I authorize you, the dealer, to verify the correctness of the information by verifying my employment and residence and also to acquire other reports, including but not limited to credit bureau reports, to analyze my creditworthiness. I authorize you to retain this application and any credit agreement as your property."